Individual
MISS RENEE LEIOKAMALIA WULZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
IRONWOOD CENTER SUITE 106, 64-5193 KINOHOU STREET, KAMUELA, HI 96743
(808) 333-7647
Mailing address
PO BOX 1890, KAMUELA, HI 96743-1890
(808) 333-7647
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11026
HI
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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